From: Ken Spong <[EMAIL PROTECTED]>

Been watching the "cost of state registration" conversation.

A couple of comments.
1.  I believe that Registration is a State matter and cannot be 
administered Federally.
2.  The cost impost of QLD registration will mean that out of state
locums, 
etc will likely dry up.

On a brighter note, I enjoyed Ron Pepper's comments:
  "My bottom line is that the single most important issue that we should
be
promoting is the legally recognised right & responsibility to report
plain
films at the level of a non-specialist doctor.
When we have that, we will have the right to self determination,
professional
autonomy, registration and a cheap rebate provider number.
As an aside, I note that in NSW, the NSWH refers only to Medical
Radiation
Scientists. However in hospitals, staff, public & MRS' themselves only
use the
term "radiographer" or "X-Ray guy". You are also specifically prohibited
from
offering an opinion, yet nurses & junior doctors routinely do so. But if
you
work with specialists & are respected, they invariably ask your opinion.
This
is the culture that we ourselves are unwilling to change."

Lets cut to the chase. Who do we want to be?  Leaders or followers?
Without initiative, we are doomed to become gardener class-Xray guys and

gals.  We see the nurses take the initiative in NIXR's.  Great move, and
it 
can produce some improvement in patient management.  What we need to get

involved with is the other side of the coin.  Let's face it, most of the

nurses would welcome the input of the Medical Imaging Scientist / 
Technologist in being assured that there is or is not a fracture, that 
there is a problem in a chest Xray, that the additional information
gained 
in the process of the Radiographic examination is conveyed back to where
it 
can make a difference in the management of the patient.

It is all about patient management outcomes, and we can either grasp the

opportunity or walk away to self pity and despair.

Now, not all will feel comfortable about offering an opinion - maybe not

comfortable with doing so as being afraid of making a mistake, etc.
That 
is what experience and training is about.  Take the example of the NIXR 
program.
So we could achieve a process profile similar to the NIXR 
program.  Selected, voluntary, service oriented.  Recognised, and
respected 
for that skill and opinion.
I'm all for it.  Further training might incorporate more in-depth 
appreciation of images and a formal reporting process such as being 
developed at RBH, but for a kickoff, lets light the wick, and instead of

standing back, grab hold and hang on.  Enjoy the ride!

Ken



It's Life, but not as you may know it! - Try it!
http://www.stargate.co.nz/healthy.htm 




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